• Utilization Review RN

    HCA Healthcare (Largo, FL)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) Utilization Review RN with HCA Florida Largo West Hospital ... in our organization. We are looking for an enthusiastic Utilization Review RN to help...related health care experience . Licensure as a Florida Registered Nurse in accordance with state regulations… more
    HCA Healthcare (04/18/24)
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  • Utilization Review Nurse

    Actalent (Tampa, FL)
    …including the terms of the contract as appropriate Qualifications: + 2+ years of Utilization Review Experience + Active RN License + Experience working ... to hire multiple RNs to join a growing 3rd party provider on the post acute utilization review team! This role is looking to have nurses start for July 8th ! The… more
    Actalent (05/21/24)
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  • Utilization Review Clinician…

    Centene Corporation (Tampa, FL)
    …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and… more
    Centene Corporation (05/22/24)
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  • Senior RN Utilization Review

    Elevance Health (Tampa, FL)
    Senior RN Utilization Review /Management (Acute InPatient) JR116937 **Location:** Must be within 50 miles / 1 hour commute of Tampa or Miami, FL offices. This ... Friday. **2 Holidays** per year and **occasional** weekends. The ** Nurse Medical Management Sr** serves as **team lead** for...preferred** . + 2 years of experience in In-Patient, utilization review / management, evaluating medical necessity… more
    Elevance Health (05/10/24)
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  • RN Utilization Management

    AdventHealth (Tampa, FL)
    …Center. **The role you'll contribute:** The role of the Utilization Management (UM) Registered Nurse ( RN ) is to use clinical expertise by analyzing ... of admission; and when warranted by length of stay, utilization review plan, and/or best practice guidelines,.... Current and valid license to practice as a Registered Nurse (ADN or BSN) required. .… more
    AdventHealth (05/21/24)
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  • Outpatient Registered Nurse

    Fresenius Medical Center (Trinity, FL)
    **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) ... for new employees who meet the RN CAP 2 criteria or attained through...the Clinical Educator, Preceptor or in collaboration with other Registered Nurses. + Performs ongoing, systematic collection and analysis… more
    Fresenius Medical Center (05/24/24)
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  • Dialysis Clinical Manager Registered

    Fresenius Medical Center (St. Petersburg, FL)
    …all FMS manuals. + Accountable for completion of the Annual Standing Order Review and ICD coding. + Checks correspondence whether electronic, paper or voice mail, ... supporting billing and collection activities. + Responsible for efficient utilization of medication, laboratory, inventory, supplies and equipment to achieve… more
    Fresenius Medical Center (05/15/24)
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  • Registered Nurse IP Wound Care…

    AdventHealth (Riverview, FL)
    …in the IP Wound care. This includes, but is not limited to, utilization of skills in organization, planning, implementing, evaluating, and providing care through the ... standards. **The value you'll bring to the team:** + Review lab results for needed provider action and follow...**:** + Completion of Nursing Program + Active Florida RN License + Current BLS + Wound Care Certified… more
    AdventHealth (05/07/24)
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  • Home Care Supervisor, RN

    BayCare Health System (Largo, FL)
    …a focus on quality, utilization and individual patient care goals. **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of Florida ... Join our leadership team as a **Home Care Supervisor, RN ** ensuring that our team members meet all credentials...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with… more
    BayCare Health System (04/12/24)
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  • Home Care Supervisor, RN

    BayCare Health System (New Port Richey, FL)
    …experience in adult skilled home health** **and** **OASIS is preferred** **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of ... our patients' lives every day. The **Home Care Supervisor, RN ** is responsible for the leadership of assigned patient...area of responsibility. + Ensure quality assurance program and utilization review is followed in accordance with… more
    BayCare Health System (04/16/24)
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  • Home Care Supervisor, RN - Weekend

    BayCare Health System (New Port Richey, FL)
    …to be part of an amazing team and a great place to work!** **Requirements:** + RN ( Registered Nurse ) License + Driver's License, State of Florida required ... BayCare HomeCare is seeking a weekend **Home Care Supervisor, RN ** to work with our amazing team at BayCare...area of responsibility + Ensure quality assurance program and utilization review is followed in accordance with… more
    BayCare Health System (04/12/24)
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  • Clinical Manager, Home Health Full Time

    CenterWell (Tampa, FL)
    review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and ... requirements. + Responsible for the QA/PI activities. Works with Utilization Review staff relative to data tracking...School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR.… more
    CenterWell (04/20/24)
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  • OR Registered Nurse PRN

    HCA Healthcare (Brandon, FL)
    …and personal growth, we encourage you to apply for our OR Registered Nurse PRN opening. We promptly review all applications. Highly qualified candidates will ... care like family! Jump-start your career as a(an) OR Registered Nurse PRN today with Brandon Surgery...the instrument and equipment set-up for your OR, including utilization of preference cards and ability to anticipate your… more
    HCA Healthcare (05/17/24)
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  • Registered Nurse Care Manager PRN

    AdventHealth (Riverview, FL)
    …**The expertise and experiences you'll need to succeed** **:** . Associates Degree Nursing or RN Diploma degree . Registered Nurse ( RN ) State specific ... urology, orthopedic and women's care. **The role you'll contribute:** The RN Care Manager in collaboration with the patient/family, social workers, nurses,… more
    AdventHealth (05/14/24)
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  • Case Manager RN PRN

    HCA Healthcare (St. Petersburg, FL)
    …The CM coordinates efforts within the Rehabilitation team. We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... You will promote cost effectiveness through the integration of case management, utilization review management and discharge planning. Requirements: + Current… more
    HCA Healthcare (03/01/24)
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  • Case Manager RN PRN

    HCA Healthcare (St. Petersburg, FL)
    …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What...we encourage you to apply for our Case Manager RN PRN opening. We promptly review all… more
    HCA Healthcare (04/10/24)
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  • Case Manager RN

    HCA Healthcare (Brandon, FL)
    …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
    HCA Healthcare (05/11/24)
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  • Case Manager RN PRN

    HCA Healthcare (Sun City Center, FL)
    …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What...we encourage you to apply for our Case Manager RN PRN opening. We promptly review all… more
    HCA Healthcare (04/24/24)
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  • Case Manager RN

    HCA Healthcare (Largo, FL)
    …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
    HCA Healthcare (03/26/24)
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  • Case Manager RN

    HCA Healthcare (Hudson, FL)
    …your knowledge and expertise! **Job Summary and Qualifications** We are seeking a Registered Nurse Case Manager. You will provide clinical expertise to ensure ... promote cost effectiveness through the integration of case management, utilization review management and discharge planning. **What...we encourage you to apply for our Case Manager RN opening. We promptly review all applications.… more
    HCA Healthcare (05/14/24)
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